JUN 23, 2016
Bilateral Extended Ophthalmoscopy Allowable
Question: When submitting 92226 –RT Subsequent ophthalmoscopy and 92226 –LT, the commercial payer is changing it to 92226- 50 and reducing payment to 100 percent instead of 200 percent. Should we appeal?
Answer: Yes. Tests that have unilateral payment should be paid at the full allowable for each eye.